Binsha Wu, Chi Liu, Tianyu Wang, Junyan Wei, Chenyi Wen, Zijin Liao, Dan Zhang, Chichi Li
{"title":"Comparison of the Difference in the Stemness Changes of Adipose-Derived Stem Cell and Dedifferentiated Fat Cell After Fat Transplantation: In Vivo and In Vitro Evidence.","authors":"Binsha Wu, Chi Liu, Tianyu Wang, Junyan Wei, Chenyi Wen, Zijin Liao, Dan Zhang, Chichi Li","doi":"10.1007/s00266-025-04802-2","DOIUrl":"https://doi.org/10.1007/s00266-025-04802-2","url":null,"abstract":"<p><strong>Background: </strong>Promoting the fat retention rate effectively remains a current challenge in the fat transplantation technique. Both adipose-derived stem cells (ADSCs) and dedifferentiated fat cells (DFATs) have strong multilineage differentiation potential and can promote fat graft retention rate. This study aimed to compare the difference in the stemness changes of ADSCs and DFATs after fat transplantation from both in vitro and in vivo perspectives.</p><p><strong>Methods: </strong>ADSCs and DFATs were obtained using type I collagenase digestion and identified in morphology, cell-surface antigens, and multilineage differentiation potentials. Next, a method we called oxygen-glucose deprivation (OGD) was used to simulate an ischemic and hypoxia environment in vitro, and then the effect of OGD on the survival, proliferation, and differentiation capacities of ADSCs and DFATs was observed. Moreover, a mixture of fat with ADSCs or DFATs was injected into the subcutaneous of nude mice, followed by evaluation in the changes of fat retention rate and histology via weight measurement, HE/Masson staining, and immunofluorescent/immunohistochemistry staining of perilipin-1 or CD31, respectively.</p><p><strong>Results: </strong>ADSCs showed stronger survival, proliferation, and differentiation capacities than DFATs after exposure to the same degree of OGD injury. In addition, ADSC cell-assisted fat grafts showed a higher retention rate and maintained better fat integrity with fewer vacuoles, fibrosis, and lower inflammation extent compared with DFAT cell-assisted fat grafts; meanwhile, ADSC cell-assisted fat transplantation is more beneficial for adipogenesis and angiogenesis than DFAT.</p><p><strong>Conclusion: </strong>Our findings indicate that ADSC might be a more ideal stemness cell than DFAT in promoting fat retention rate.</p><p><strong>No level assigned: </strong>This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cristina Melero-Fernández, Ana Belén Martínez-Martínez
{"title":"Gigantomastia: Advancing a Preference Score System to Enhance Care Quality and Life Standards.","authors":"Cristina Melero-Fernández, Ana Belén Martínez-Martínez","doi":"10.1007/s00266-025-04831-x","DOIUrl":"https://doi.org/10.1007/s00266-025-04831-x","url":null,"abstract":"<p><strong>Background: </strong>This study introduces a new Gigantomastia Preference Score (GPS) to prioritize surgical candidates based on clinical severity and quality of life impact.</p><p><strong>Methods: </strong>This retrospective study applied the newly developed GPS to the existing surgery waiting list of 213 patients at our center. The GPS was developed from evidence-based clinical practice indicators and a thorough literature review, selecting nine variables. The GPS was then used to reorder the waiting list, and comparisons were made between the original and reordered lists.</p><p><strong>Results: </strong>Implementation of the GPS significantly reordered the waiting list. The Spearman's Rank Correlation coefficient between the original and new rankings was 0.5679 (p-value = 1.38e-19), indicating a moderate to strong positive correlation. The Wilcoxon Signed-Rank Test yielded a statistic of 3485.0 (p-value = 8.44e-21), showing significant changes in patient positions. ANOVA results highlighted significant differences in BMI and largest breast weight across priority levels. Chi-Square tests revealed significant associations between priority levels and Trauma and Psychiatry reports.</p><p><strong>Conclusions: </strong>The GPS significantly improved the prioritization of patients with gigantomastia by incorporating multiple clinically relevant factors. This led to a more equitable and informed ordering of the surgical waiting list, potentially improving patient outcomes and optimizing healthcare resource allocation.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michele Pascali, Luca Savani, Marco Gratteri, Gloria Marchese, Paolo Persichetti
{"title":"Combining Deep Plane Face and Neck Lift with Periorbital Rejuvenation and Ancillary Surgical Procedures of the Face: A Critical Evaluation of Over 434 Consecutive Cases.","authors":"Michele Pascali, Luca Savani, Marco Gratteri, Gloria Marchese, Paolo Persichetti","doi":"10.1007/s00266-025-04814-y","DOIUrl":"https://doi.org/10.1007/s00266-025-04814-y","url":null,"abstract":"<p><strong>Background: </strong>Over time, all the face structures inevitably undergo the effects of chrono-aging with changes in their intrinsic characteristics, position and volume. Keeping in mind that all the possible aging defects may be concomitant, in the authors' vision, a careful preoperative evaluation of the patient's aging signs should take consideration of the face as a whole. This study reported the senior author's experience and complications on over 400 patients who consecutively underwent deep plane face and neck lifting combined with periorbital rejuvenation procedures.</p><p><strong>Materials and methods: </strong>434 consecutive patients who underwent deep plane face and neck lifting combined with periorbital rejuvenation procedures were enrolled in this study. Administration of a subjective/patient-specific and objective surgeon/specific questionnaire allowed to investigate satisfaction level at 12 and 18 months after surgery. Statistical analysis was conducted with Prism9. Surgical drawings, techniques and complications were described.</p><p><strong>Results: </strong>Data deriving from patients' and surgeons' questionnaires evidenced a high level of satisfaction with the combined surgery. The patients' satisfaction tended to increase, even if with a no statistically significant manner, from 12 to 18 months.</p><p><strong>Discussion: </strong>Authors outlined the importance of focus the attention also on the correction of the cranial part of the middle third soft tissues aging signs, often \"neglected\" during facelift, and on the periorbital area.</p><p><strong>Conclusion: </strong>A satisfactory total and harmonious rejuvenation of the face and neck should include a combo surgery combining periorbital rejuvenation procedures with a more \"traditional\" extended deep plane face and neck lift depending on the aging signs.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Investigation of Chinese Auricular Parameters and Aesthetic Preferences.","authors":"Si-Yi Zhang, Wei-Jin Hong, Guo-Sheng Zhu, Jun-Ren Fang, Jing Hu, Ling-Cong Zhou, Sheng-Kang Luo","doi":"10.1007/s00266-025-04774-3","DOIUrl":"https://doi.org/10.1007/s00266-025-04774-3","url":null,"abstract":"<p><strong>Background: </strong>As a crucial component of the middle facial contour, the auricle has a significant impact on a person's overall appearance and aesthetic impression. To further guide clinical auricular injection protocols by studying auricular parameters and aesthetic preferences in line with contemporary domestic aesthetics.</p><p><strong>Methods: </strong>A total of 89 photographs of patients who met the preset criteria and who were admitted to our department from January 2023 to June 2023 were reviewed, which yielded 178 images by mirror-image processing. Eight plastic surgery experts scored the 178 pictures aesthetically and grouped them according to their auricular positions, sizes, and morphologies. We analyzed the relationship between each auricular parameter and proportion and the aesthetic score.</p><p><strong>Results: </strong>As the auricular height increased, the aesthetic score increased accordingly, and the auricular protrusion was most likely to become more aesthetically pleasing at 54°; the score tended to decrease when the auricular protrusion angle was greater than 54°. The number of auricular protrusions was correlated with the aesthetic score (r = 0.5444, P < 0.0001). The aesthetic score was highest when the helix protruded from the antihelix, followed by the parallel position and then when the antihelix protruded. The most liked lobule shape was round, followed by square and triangular. A curve in the upper third of the auricle or in the lobule resulted in lower aesthetic scores.</p><p><strong>Conclusions: </strong>Auricular aesthetics are influenced by many factors. The position, size, and shape of the auricle, as well as cultural differences, all affect the aesthetic scores of the auricle.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Manual Fractional Technology with CO<sub>2</sub> Laser Combined with Transdermal Drug Delivery for Hypertrophic Scar: A Retrospective Study.","authors":"Houhuang Qiu, Bingliang Wu, Fuqiang Pan, Siyuan Zhou, Liming Zhang, Xiang Zhou","doi":"10.1007/s00266-025-04837-5","DOIUrl":"https://doi.org/10.1007/s00266-025-04837-5","url":null,"abstract":"<p><strong>Background: </strong>Hypertrophic scars are a common fibrotic skin disorder with a high recurrence rate. While various treatment options exist, their efficacy remains uncertain. Manual fractional technology with CO<sub>2</sub> laser technology, a novel approach, has shown promise; however, its effectiveness as a standalone ablative treatment is limited. This retrospective study aims to evaluate the clinical outcomes of combining Manual fractional technology with CO<sub>2</sub> laser technology with triamcinolone acetonide and 5-fluorouracil transdermal delivery for the treatment of hypertrophic scars.</p><p><strong>Objective: </strong>This study retrospectively evaluated the clinical efficacy of MFT with CO<sub>2</sub> laser combined with transdermal triamcinolone acetonide and 5-fluorouracil in treating hypertrophic scars.</p><p><strong>Methods: </strong>A cohort of 42 patients with 48 hypertrophic scars underwent the combination therapy thrice. Scar evaluations were conducted using the patient and observer scar assessment scale (POSAS) before treatment and one month after each session. Adverse and complication reactions were monitored, and patients were followed for 6 months post-treatment. Hypertrophic scar recurrence and patient satisfaction were assessed.</p><p><strong>Results: </strong>The total POSAS score significantly decreased from pre-treatment [48.00 (43.00, 53.75) VS 21.29±7.167; p<0.001]. In the subgroup analysis, treatment outcomes varied significantly by skin type, with scar quantity and genetic factors influencing remission time. The recurrence rate during the 6-month follow-up was 6.24%, with a satisfaction rate of 83.34%. No severe adverse reactions were reported.</p><p><strong>Conclusions: </strong>The findings indicate that laser-assisted drug delivery using MFT with CO<sub>2</sub> laser demonstrates significant clinical efficacy, a low recurrence rate, and an absence of serious adverse reactions in treating hypertrophic scars. This method shows promise as a novel treatment modality for hypertrophic scars.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lianji Xu, Heng Wang, Tao Ma, Edward I Lee, Tae Joo Ahn, Seung Han Song, Zhenjun Wang
{"title":"Reconstruction of Medial Epicanthal Fold Using Dual-Plane V-Y Advancement Flap.","authors":"Lianji Xu, Heng Wang, Tao Ma, Edward I Lee, Tae Joo Ahn, Seung Han Song, Zhenjun Wang","doi":"10.1007/s00266-025-04840-w","DOIUrl":"https://doi.org/10.1007/s00266-025-04840-w","url":null,"abstract":"<p><strong>Background: </strong>Medial epicanthoplasty is a common method for correcting epicanthal folds in Asians but can lead to many complications. There are a number of techniques currently used for correction of these complications, but they often lead to incomplete correction or exacerbate the issue.</p><p><strong>Purpose: </strong>The purpose of this study is to introduce a dual-plane V-Y advancement flap method for the reconstruction of epicanthal folds that addresses both muscle reconstruction and soft tissue redraping, which we believe is key to a successful outcome, that is easy to perform, has a short learning curve, and provides excellent aesthetic results.</p><p><strong>Methods: </strong>The study included 66 patients who experienced complications after medial canthoplasty and underwent correction using our method from January 2017 to December 2018. Patients were surveyed to assess their satisfaction with surgical outcomes. In addition, the interepicanthal distance-lengthening ratios and symmetry of palpebral widths were compared to obtain a more objective comparison before and after the corrective procedure.</p><p><strong>Results: </strong>The dual-plane method led to a statistically significant increase in the intercanthal distance between the medial canthi postoperatively. Improvements were noted in the exposure of the lacrimal caruncle and the appearance of the medial eyelid scar, and patients were overall satisfied with their outcomes. During an average follow-up of 10.8 months, three cases required secondary enlargement due to asymmetry.</p><p><strong>Conclusion: </strong>The dual-plane method offers a promising solution for patients seeking correction of complications from previous medial canthoplasty, emphasizing the importance of muscle reconstruction alongside skin redraping for optimal aesthetic and functional outcomes.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Javier Madero-Pérez, Marta Gil-Martinez, Cristina Muñoz-Gonzalez, Paula Martin-Marfil, Nabil Fakih-Gomez
{"title":"Essential Pharmaceutical Drugs in the Filler Emergency Kit.","authors":"Javier Madero-Pérez, Marta Gil-Martinez, Cristina Muñoz-Gonzalez, Paula Martin-Marfil, Nabil Fakih-Gomez","doi":"10.1007/s00266-025-04808-w","DOIUrl":"https://doi.org/10.1007/s00266-025-04808-w","url":null,"abstract":"<p><strong>Introduction: </strong>The rise in clinical procedures utilizing dermal fillers necessitates preparedness for potential emergencies. Effective management of complications arising from filler use, including vascular occlusions and allergic reactions, hinges on the availability of the appropriate pharmacological supplies.</p><p><strong>Methods: </strong>A two-tiered search in PubMed and Google Scholar was conducted to identify essential drugs for dermal filler emergencies. An initial 10-year review used keywords \"Dermal Fillers,\" \"vascular occlusion,\" and \"hyaluronidase,\" followed by a targeted search on \"Resuscitation guidelines,\" \"anaphylaxis management,\" \"allergy fillers,\" and \"lidocaine.\" This article outlines the critical drug inventory for emergency kits to manage filler-related complications effectively.</p><p><strong>Results: </strong>An ORA classification system (Obligatory, Recommended, Advisable) is introduced to categorize essential drugs according to urgency and clinical necessity. The required drugs are grouped based on their application in cases of vascular occlusion without ocular involvement, vascular occlusion with ocular involvement, anaphylactic reactions, cardiopulmonary resuscitation and hemodynamic disorders, delayed reactions, and aseptic, oxygen, and topical treatments. Additionally, the importance of meticulous drug inventory management-including tracking of stock entry, exit, and expiration dates-is emphasized to reduce the risk of shortages.</p><p><strong>Conclusion: </strong>Ensuring that filler emergency kit is well stocked with vital pharmacological supplies is imperative for effective emergency management during filler procedures. Adopting systematic inventory practices and utilizing the ORA classification can enhance preparedness and patient safety.</p><p><strong>Level of evidence v: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yen-Pin Lin, Soo Ha Kwon, Peter Ruei-Feng Chen, Cheng-I Yen
{"title":"Alar Base Lift with an Alar Base Rotation Flap.","authors":"Yen-Pin Lin, Soo Ha Kwon, Peter Ruei-Feng Chen, Cheng-I Yen","doi":"10.1007/s00266-025-04803-1","DOIUrl":"https://doi.org/10.1007/s00266-025-04803-1","url":null,"abstract":"<p><strong>Background: </strong>Hanging alae is a common aesthetic problem in Southeast Asian noses. The alar overhang gives a poor aesthetic relation between the alar and columellar base described as a \"heavy hypertrophic alar\" appearance. Alar lift surgery is an integral part of any rhinoplasty procedure, but is often overlooked by surgeons performing rhinoplasty. Unnatural looking scar caused by skin graft or anatomic junction disruption is often found after alar base lift surgery. Hiding the incision along the nasolabial fold with a rotation flap can reduce the tension during wound healing, decrease length discrepancy caused by vertical reduction, and close the defect after vertical lift of the alar component.</p><p><strong>Methods: </strong>After vertical reduction and lift of the lateral part of the ala, the basal defect is repaired with a small rotation flap along the nasolabial fold; the alar base rotation flap (ABRF). All the patient received alar base lift with an ABRF, and received 2D photometric evaluation before and after surgery.</p><p><strong>Results: </strong>No tip circulation compromise was noted. All patient healed well with a barely noticeable scar, and an improved alar-columellar relationship (ACR). The vertical alar base distance index decreased 3.38% (p < 0.005), and alar columellar angle decreased 15.8° (p < 0.005).</p><p><strong>Conclusion: </strong>Alar base lift with ABRF improves the ACR, and provides an elevated alar base position with a less visible scar.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Modified Anterior Scoring Otoplasty Without Sutures: Description and Case Series.","authors":"Roberto Grella, Marcello Molle, Erminia Crisci, Elisa Grella, Maria Maddalena Nicoletti, Gorizio Pieretti","doi":"10.1007/s00266-025-04763-6","DOIUrl":"https://doi.org/10.1007/s00266-025-04763-6","url":null,"abstract":"<p><strong>Background and introduction: </strong>Ear deformities constitute a condition with a high psychological impact in both children/adolescents and adults. In anthelix correction, the use of cartilage scoring techniques, mainly based on the Chongchet technique, was observed. These techniques require neoanthelix maintenance sutures. In this article, we present a variation of the anterior cartilage scoring technique according to Chongchet without the use of sutures.</p><p><strong>Material and method: </strong>A retrospective analysis was conducted on 50 patients who underwent otoplasty using a variation of the anterior scoring technique between 2015 and 2023. Data on recurrence rates and complications were collected.</p><p><strong>Results: </strong>No recurrences were observed during the follow-up period, indicating the stability of the results achieved with the modified technique. Abnormal scars were observed in 16% of cases, while no major complications were reported.</p><p><strong>Discussion and conclusion: </strong>The modified anterior scoring otoplasty technique described represents a promising alternative to traditional approaches, offering stable and aesthetically pleasing results without the need for sutures.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Quality of Life After Septorhinoplasty: A Prospective Study.","authors":"Mebarimon Kharwanlang, Pradeep Pradhan, Chappity Preetam, Saurav Sarkar, Santosh Kumar Swain, Pradipta Kumar Parida, Dillip Kumar Samal","doi":"10.1007/s00266-025-04725-y","DOIUrl":"https://doi.org/10.1007/s00266-025-04725-y","url":null,"abstract":"<p><strong>Background: </strong>Patient satisfaction is an important indicator of surgical outcome, so the quality of life is crucial in a patient undergoing septorhinoplasty. In the present study, we have prospectively evaluated the quality of life concerning functional and aesthetic outcomes after septorhinoplasty.</p><p><strong>Materials and methods: </strong>This prospective study, included 50 patients who underwent septorhinoplasty for functional and aesthetic symptoms from March 2021 to February 2024. The quality of life concerned with functional and aesthetic outcomes were evaluated at the end of 6 and 12 months after the surgery.</p><p><strong>Results: </strong>There was a significant improvement in both functional (VAS, NOSE, FROI-17) and aesthetic outcome questionaries in patients undergoing septorhinoplasty (p < 0.05); there was a strong correlation between the age of the patients, the presenting complaints and functional quality of life. Again, a strong correlation was found between the complication rate and aesthetic quality of life (p < 0.05).</p><p><strong>Conclusion: </strong>Although septorhinoplasty is a complex surgery, it can ensure significant improvement in the quality of life of a patient. Our study showed a strong correlation of age, presenting complaints, and complication rate with the functional and aesthetic quality of life.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}